【摘要】：目的了解儋州農(nóng)村地區(qū)老年人群骨質(zhì)疏松癥(OP)的患病率,并分析其相關(guān)危險因素,為有效預(yù)防和干預(yù)提供依據(jù)。方法采用美國GE公司生產(chǎn)的Lunar Prodigy Advance PA+300164型雙能X線骨密度儀測量儋州農(nóng)村地區(qū)老年人群的右側(cè)跟骨骨密度。通過對受試者進(jìn)行調(diào)查問卷,記錄其一般資料及骨質(zhì)疏松癥相關(guān)因素等。單因素Logistic分析,有統(tǒng)計學(xué)意義的因素(P0.05)進(jìn)一步行二分類非條件Logistic回歸分析,計算OR值及其95%置信區(qū)間(95%CI)。應(yīng)用受試者工作特征(ROC)曲線評價Logistic回歸模型的效果。結(jié)果在2186名調(diào)查對象中,OP總患病率為31.6%(691/2186),其中男性占21.4%(148/691),女性占78.6%(543/691)。隨著年齡的增長,男、女性骨質(zhì)疏松癥患病率均明顯增加,差異有統(tǒng)計學(xué)意義(P0.05)。在男性,單因素及二分類非條件Logistic回歸分析顯示,年齡、飲酒次數(shù)、OP家族史、骨折次數(shù)是OP發(fā)生的獨(dú)立危險因素(P0.05),體質(zhì)指數(shù)、飲用牛奶、每天鍛煉時間、對骨質(zhì)疏松癥的認(rèn)識程度可能是OP保護(hù)因素(P0.05)。在女性,單因素及二分類非條件Logistic回歸分析顯示,年齡、OP家族史、骨折次數(shù)、婚姻狀況、絕經(jīng)狀態(tài)是OP發(fā)生的獨(dú)立危險因素(P0.05),體質(zhì)指數(shù)、飲用牛奶、每天鍛煉時間、對骨質(zhì)疏松癥的認(rèn)識程度可能是OP保護(hù)因素(P0.05)。ROC曲線評價Logistic回歸模型預(yù)測效果的曲線下面積(AUC)及95%CI為0.895(0.842~0.974)。結(jié)論儋州農(nóng)村地區(qū)老年人群骨質(zhì)疏松癥的患病率較高,影響骨質(zhì)疏松癥的危險因素較多,需積極采取預(yù)防措施,以減少或延緩骨質(zhì)疏松癥的發(fā)生。
[Abstract]:Objective to investigate the prevalence of (OP) in elderly people with osteoporosis in rural areas of Danzhou, and to analyze its related risk factors, so as to provide evidence for effective prevention and intervention. Methods the right calcaneal bone mineral density (bone mineral density) of elderly people in rural Danzhou was measured by Lunar Prodigy Advance PA 300164 dual energy X-ray absorptimeter produced by GE Company of the United States. The general data and related factors of osteoporosis were recorded by questionnaire. Univariate Logistic analysis, statistically significant factors (P 0.05) were further analyzed by two-classification unconditional Logistic regression analysis, and OR value and 95% confidence interval (95%CI) were calculated. The effect of Logistic regression model was evaluated by (ROC) curve of subjects' working characteristics. Results among 2186 subjects, the total prevalence rate of OP was 31.6% (691 鈮，

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